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Indiana rates for HCPCS J1439

Injection, ferric carboxymaltose, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.13 / $5.13 / $7,660.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.12 / $1.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.11 / $2.22 / $2.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.11 / $1.57
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.65
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.11 / $3.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.89